defibrotide
Trade name: defitelio
Approved
Mar 30, 2016
Defibrotide, sold under the brand name Defitelio, is a mixture of single-stranded oligonucleotides that is purified from the intestinal mucosa of pigs. It is used to treat veno-occlusive disease of the liver of people having had a bone marrow transplant, with different limitations in the US and the European Union. It works by protecting the cells lining blood vessels in the liver and preventing blood clotting; the way it does this is not well understood. — Wikipedia
Clinical trial activity
22 trials · 21 clinical orgs · 2 marketing orgs
Earliest trial started Apr 1, 2000 (NCT00003966)
Timeline
2000s
- Jan 1, 2000
Earliest Phase 2 Sponsor(trial)
- May 21, 2003
Orphan Drug Designation
- Jan 1, 2006
Earliest Phase 1 Sponsor(trial)
- Jan 1, 2006
Jazz Pharmaceuticals — Earliest Phase 3 Sponsor(trial)
2010s
- Mar 30, 2016
Gentium — Earliest FDA Approval
- Mar 30, 2016
Jazz Pharmaceuticals — NDA Secondary Org
- Mar 30, 2016
Gentium — NDA Organization
Indications
Approved for
Studied for
- Acute Chest Syndrome · Phase 2
- Anemia, Sickle Cell · Phase 2
- Arterial Occlusive Diseases · Phase 3
- Bone Marrow Transplantation · Phase 2
- COVID-19 · Phase 2
- Endotoxemia · Phase 4
- Graft vs Host Disease · Phase 2
- Healthy Volunteers · Phase 4
- Hepatic Veno-Occlusive Disease · Phase 3
- Lymphoma, Large-Cell, Immunoblastic · Phase 2
- Mucocutaneous Lymph Node Syndrome · Phase 2
- Multiple Myeloma · Phase 1/Phase 2
- Neuroblastoma · Phase 2
- Neurotoxicity Syndromes · Phase 2
- Respiratory Distress Syndrome · Phase 1
- Thrombosis · Phase 2
- Thrombotic Microangiopathies · Phase 2
Mechanism of action
- PlasminogenACTIVATOR
PLG activator
- Adenosine A2 receptorAGONIST
Adenosine A2 receptor agonist
- Adenosine A1 receptorAGONIST
Adenosine A1 receptor agonist
- ThrombinANTAGONIST
Thrombin antagonist
Approval history
- approvedPriority reviewFast trackMar 30, 2016
Chemistry & pharmacology
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Availability
- Prescription Only
Oral
No
Parenteral
No
Topical
No
Sources
- WikipediaDefibrotide ↗
- NCATS568FY5I1YI ↗
- ChEMBLCHEMBL3707226 ↗
- ChEMBLCHEMBL2108396 ↗
Also known as
- defibrinotide
- defibrinotide
- defibrotide
- defibrotide
- defibrotide
- defibrotide
- defibrotide
- defibrotide
- defibrotide
- defibrotide
- defibrotide (bovine)
- defibrotide sodium
- defibrotide sodium
- defibrotide sodium
- defibrotide sodium
- defibrotide sodium
- defitelio
- defitelio
- defitelio
- jzp381
- jzp-381
- jzp-381
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06182410 | Phase 2 | Mar 1, 2024 | Jazz Pharmaceuticals, University of California, San Francisco |
| NCT05987124 | Phase 2 | Dec 1, 2023 | New York Medical College |
| NCT04777422 | Phase 2 | Feb 24, 2021 | Columbia University, Johns Hopkins University, New York Medical College, New York University |
| NCT04652115 | Phase 2 | Jan 1, 2021 | Harvard University, Jazz Pharmaceuticals |
| NCT04530604 | Phase 1 | Oct 1, 2020 | Jazz Pharmaceuticals, University of Michigan |
| NCT04313036 | Phase 2 | May 1, 2020 | Loyola University |
| NCT04348383 | Phase 2 | Apr 8, 2020 | Fundacion para la Formacion e Investigacion Sanitarias de la Region de Murcia |
| NCT04335201 | Phase 2 | Apr 6, 2020 | Vita-Salute University of Milano. Italy |
| NCT03954106 | Phase 2 | Aug 31, 2019 | Jazz Pharmaceuticals |
| NCT03384693 | Phase 2 | May 1, 2018 | University of California, San Francisco |
| NCT03339297 | Phase 2 | Feb 21, 2018 | Jazz Pharmaceuticals |
| NCT03805581 | Phase 2 | Jan 12, 2018 | Johns Hopkins University, New York Medical College |
| NCT02675959 | Phase 2 | May 1, 2017 | New York Medical College |
| NCT02876601 | Phase 4 | Apr 1, 2017 | Medical University of Vienna, University of Vienna |
| NCT02851407 | Phase 3 | Sep 1, 2016 | Jazz Pharmaceuticals |
| NCT00628498 | Phase 3 | Dec 1, 2007 | Harvard University, Jazz Pharmaceuticals |
| NCT00358501 | Phase 3 | Jul 1, 2006 | Food and Drug Administration, Harvard University, Jazz Pharmaceuticals |
| NCT00406978 | Phase 1/Phase 2 (Phase 2) | Feb 1, 2006 | University of Turin |
| NCT00272948 | Phase 2/Phase 3 (Phase 3) | Dec 1, 2005 | Deutsche Krebshilfe e.V., European Group for Blood and Marrow Transplantation, Jazz Pharmaceuticals, University of Ulm |
| NCT00263978 | N/A | Nov 1, 2005 | Emory University |
Organizations
Research & Development (21)
Marketing (2)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Gentium | For profit | NDA | Mar 30, 2016 |
| Jazz Pharmaceuticals | For profit | NDA2 | Mar 30, 2016 |